Polka Line Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

POLKA LINE SUPPLIES INC

Practice address

18350 NW 2ND Ave Ste 320
Miami Gardens, FL 33169-4519

Phone

(305) 627-3135

NPI assigned

Jun 6, 2024

Last updated

Nov 17, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Pedro Perez Saez

Title

President

Phone

(954) 543-2729

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1447091061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 NW 2ND AVE STE 320",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694519",
            "telephone_number": "305-627-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 NW 2ND AVE STE 320",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694519",
            "telephone_number": "305-627-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLKA LINE SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ SAEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-543-2729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PMR Virginia Holding, LLC (Jencare Senior Medical Centers of Virginia)
• Podiatry Associates of Miami Gardens, LLC
• Dora Poey Rodriguez
• Jessica Poey
• Cheryl Diana Polite-Eaford, LCSW
• Danielly Pombo Gavilan
• Daibelys Ponce
• Amanda Sofia Pons Valdes
• Gonzalo Portal Lemock, APRN
• Julio Portal

• Durable Medical Equipment & Medical Supplies in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.